| General |
| City |
| Denver |
Denver |
| State attribute explanation |
| Co |
Co |
| Street |
| 735 South Locust Street |
895 South Monaco Parkway |
| Zip Code |
| 80,224 |
80,224 |
| Phone |
| 3,033,204,377 |
3,033,213,110 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 118 |
117 |
|
Total Number of Residents |
| 79 |
80 |
|
Percent of Occupied Beds |
| 67 % |
68 % |
| Health Survey Date |
| 11/16/2011 |
12/9/2011 |
| Fire Survey Date |
| 12/15/2011 |
1/20/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Limited Liability Company |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 2 |
6 |
|
| Staff Information |
| Number of Residents |
| 79 |
80 |
| Number of RN Hours Per Resident Per Day |
| 0.87 |
0.91 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.74 |
0.79 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.61 |
1.7 |
| Number of CNA Hours Per Resident Per Day |
| 0.18 |
0.13 |
| Number Therapy Hours Per Resident Per Day |
| 0.18 |
0.13 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 06/03/2010date Of Correction: 07/02/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 05/19/2009date Of Correction: 06/22/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 05/30/2012date Of Correction: 06/29/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 12/09/2011date Of Correction: 01/14/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 05/19/2009date Of Correction: 06/22/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 05/19/2009date Of Correction: 06/22/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 12/09/2011date Of Correction: 01/14/2012 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 05/19/2009date Of Correction: 06/22/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 8.6:1 |
1.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.4 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.8 % |
16.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.1 % |
5.4 % |
| Percent of long-stay residents who lose too much weight |
| 4.3 % |
10.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
64.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.6 % |
7.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 14.7:1 |
1.50 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.8 % |
10.8 % |
| Percent of long-stay residents who were physically restrained |
| 1.4 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 50 % |
31.4 (88.5) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 82.4 % |
78 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
60.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.8:1 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.4 % |
4.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.9 % |
6.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.2 % |
0.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.9:1 |
17.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.1 % |
4.2 % |
| Percent of long-stay residents who lose too much weight |
| 6.1 % |
5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 46.6 % |
64.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.3 % |
7.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 13.2 % |
5.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 4 % |
5.5 % |
| Percent of long-stay residents who were physically restrained |
| 2.5 % |
0.5 - 2.0 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2 % |
3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 32.7 (90.9) |
38.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86.6 % |
83.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
59 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 7.9:1 |
1.50 % |